Charmaine Luceniada, OTR/L | |
2403 Thistledown Ct, Sewell, NJ 08080-3523 | |
(347) 244-3227 | |
Not Available |
Full Name | Charmaine Luceniada |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2403 Thistledown Ct, Sewell, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326826850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR00659100 (New Jersey) | Primary |
Provider Name | Max Potential Rehab |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689371544 PECOS PAC ID: 9234595984 Enrollment ID: O20230523000049 |
Mailing Address | Practice Location Address |
---|---|
Charmaine Luceniada, OTR/L 2403 Thistledown Ct, Sewell, NJ 08080-3523 Ph: () - | Charmaine Luceniada, OTR/L 2403 Thistledown Ct, Sewell, NJ 08080-3523 Ph: (347) 244-3227 |
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